Tiffany Jackson, FNP-C
NPI #1124410022 in Pearl, Mississippi
Provider Information
- NPI Number
- 1124410022
- Entity Type
- Individual
- Name
- Tiffany Jackson, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-C
- Enumeration Date
- Mar 2, 2015
- Last Updated
- Apr 19, 2021
Practice Location
- Address
- 404 RIVERWIND DR STE B-1
- City
- Pearl
- State
- Mississippi
- ZIP Code
- 39208-5900
- Phone
- (601) 623-9245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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